Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate
BACKGROUND: Few studies have been published reporting risk factors for flap necrosis after primary palatoplasty in patients with cleft palate. This complication is rare, and the event is a disaster for both the patient and the surgeon. This study was performed to explore the associations between dif...
Guardado en:
| Autores principales: | , , , , |
|---|---|
| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
2017
|
| Materias: | |
| Acceso en línea: | Ver en el sistema de origen Enlace permanente (DOI o Handle) Enlace permanente (DOI o Handle) |
| Etiquetas: |
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1881508950982000640 |
|---|---|
| author | Percy Rossell‐Perry Olga Figallo-Hudtwalcker Roberto Vargas-Chanduvi Yvette Calderon-Ayvar Carolina Romero-Narváez |
| author_browse | Carolina Romero-Narváez Olga Figallo-Hudtwalcker Percy Rossell‐Perry Roberto Vargas-Chanduvi Yvette Calderon-Ayvar |
| author_facet | Percy Rossell‐Perry Olga Figallo-Hudtwalcker Roberto Vargas-Chanduvi Yvette Calderon-Ayvar Carolina Romero-Narváez |
| author_sort | Percy Rossell‐Perry |
| collection | Producción científica |
| description | BACKGROUND: Few studies have been published reporting risk factors for flap necrosis after primary palatoplasty in patients with cleft palate. This complication is rare, and the event is a disaster for both the patient and the surgeon. This study was performed to explore the associations between different risk factors and the development of flap necrosis after primary palatoplasty in patients with cleft palate. METHODS: This is a case-control study. A 20 years retrospective analysis (1994-2015) of patients with nonsyndromic cleft palate was identified from medical records and screening day registries). Demographical and risk factor data were collected using a patient´s report, including information about age at surgery, gender, cleft palate type, and degree of severity. Odds ratios and 95% confident intervals were derived from logistic regression analysis. RESULTS: All cases with diagnoses of flap necrosis after primary palatoplasty were included in the study (48 patients) and 156 controls were considered. In multivariate analysis, female sex, age (older than 15 years), cleft type (bilateral and incomplete), and severe cleft palate index were associated with significantly increased risk for flap necrosis. CONCLUSIONS: The findings suggest that female sex, older age, cleft type (bilateral and incomplete), and severe cleft palatal index may be associated with the development of flap necrosis after primary palatoplasty in patients with cleft palate. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1324 |
| institution | UPeU |
| language | English |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/13242026-10-30T16:15:34ZRisk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palatePercy Rossell‐PerryOlga Figallo-HudtwalckerRoberto Vargas-ChanduviYvette Calderon-AyvarCarolina Romero-NarváezPalatoplastyMedicineOdds ratioLogistic regressionDentistryRetrospective cohort studyComplicationMedical recordSurgeryRisk factorInternal medicinePalatoplastyMedicineOdds ratioLogistic regressionDentistryRetrospective cohort studyComplicationMedical recordSurgeryRisk factorInternal medicineAdolescentAdolescentAdolescentAge FactorsAge FactorsAge FactorsChildChildChildChild, PreschoolChild, PreschoolChild, PreschoolCleft Palate diagnosisCleft Palate diagnosisCleft Palate diagnosisCleft Palate surgeryCleft Palate surgeryCleft Palate surgeryFemaleFemaleFemaleFollow-Up StudiesFollow-Up StudiesFollow-Up StudiesGraft Rejection epidemiologyGraft Rejection epidemiologyGraft Rejection epidemiologyGraft Rejection pathologyGraft Rejection pathologyGraft Rejection pathologyHumansHumansHumansInfantInfantInfantMaleMaleMaleMouth Mucosa transplantationMouth Mucosa transplantationMouth Mucosa transplantationNecrosis pathologyNecrosis pathologyNecrosis pathologyPeriosteum blood supplyPeriosteum blood supplyPeriosteum blood supplyPeriosteum transplantationPeriosteum transplantationPeriosteum transplantationRetrospective StudiesRetrospective StudiesRetrospective StudiesRisk FactorsRisk FactorsRisk FactorsSex FactorsSex FactorsSex FactorsSurgical Flaps pathologySurgical Flaps pathologySurgical Flaps pathologySurgical Flaps transplantationSurgical Flaps transplantationSurgical Flaps transplantationTaiwanTaiwanTaiwanMultivariate AnalysisMultivariate AnalysisMultivariate AnalysisLogistic ModelsLogistic ModelsLogistic ModelsCase-Control StudiesCase-Control StudiesCase-Control StudiesTreatment OutcomeTreatment OutcomeTreatment OutcomeStatistics, NonparametricStatistics, NonparametricStatistics, NonparametricPlastic Surgery Procedures adverse effectsPlastic Surgery Procedures adverse effectsPlastic Surgery Procedures adverse effectsPlastic Surgery Procedures methodsPlastic Surgery Procedures methodsPlastic Surgery Procedures methodsLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Reconstructive Surgery and Microvascular TechniquesHealth Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestationsBACKGROUND: Few studies have been published reporting risk factors for flap necrosis after primary palatoplasty in patients with cleft palate. This complication is rare, and the event is a disaster for both the patient and the surgeon. This study was performed to explore the associations between different risk factors and the development of flap necrosis after primary palatoplasty in patients with cleft palate. METHODS: This is a case-control study. A 20 years retrospective analysis (1994-2015) of patients with nonsyndromic cleft palate was identified from medical records and screening day registries). Demographical and risk factor data were collected using a patient´s report, including information about age at surgery, gender, cleft palate type, and degree of severity. Odds ratios and 95% confident intervals were derived from logistic regression analysis. RESULTS: All cases with diagnoses of flap necrosis after primary palatoplasty were included in the study (48 patients) and 156 controls were considered. In multivariate analysis, female sex, age (older than 15 years), cleft type (bilateral and incomplete), and severe cleft palate index were associated with significantly increased risk for flap necrosis. CONCLUSIONS: The findings suggest that female sex, older age, cleft type (bilateral and incomplete), and severe cleft palatal index may be associated with the development of flap necrosis after primary palatoplasty in patients with cleft palate.Articlehttps://pubmed.ncbi.nlm.nih.gov/28084113https://doi.org/10.1080/2000656x.2016.127021610.1080/2000656x.2016.1270216https://hdl.handle.net/20.500.15037/1324W2571706521enJournal of Plastic Surgery and Hand Surgery2000-656X2000-67642017-01-132026-06-13T09:53:23Z2026-06-13T09:53:23Z |
| spellingShingle | Palatoplasty Medicine Odds ratio Logistic regression Dentistry Retrospective cohort study Complication Medical record Surgery Risk factor Internal medicine Palatoplasty Medicine Odds ratio Logistic regression Dentistry Retrospective cohort study Complication Medical record Surgery Risk factor Internal medicine Adolescent Adolescent Adolescent Age Factors Age Factors Age Factors Child Child Child Child, Preschool Child, Preschool Child, Preschool Cleft Palate diagnosis Cleft Palate diagnosis Cleft Palate diagnosis Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Female Female Female Follow-Up Studies Follow-Up Studies Follow-Up Studies Graft Rejection epidemiology Graft Rejection epidemiology Graft Rejection epidemiology Graft Rejection pathology Graft Rejection pathology Graft Rejection pathology Humans Humans Humans Infant Infant Infant Male Male Male Mouth Mucosa transplantation Mouth Mucosa transplantation Mouth Mucosa transplantation Necrosis pathology Necrosis pathology Necrosis pathology Periosteum blood supply Periosteum blood supply Periosteum blood supply Periosteum transplantation Periosteum transplantation Periosteum transplantation Retrospective Studies Retrospective Studies Retrospective Studies Risk Factors Risk Factors Risk Factors Sex Factors Sex Factors Sex Factors Surgical Flaps pathology Surgical Flaps pathology Surgical Flaps pathology Surgical Flaps transplantation Surgical Flaps transplantation Surgical Flaps transplantation Taiwan Taiwan Taiwan Multivariate Analysis Multivariate Analysis Multivariate Analysis Logistic Models Logistic Models Logistic Models Case-Control Studies Case-Control Studies Case-Control Studies Treatment Outcome Treatment Outcome Treatment Outcome Statistics, Nonparametric Statistics, Nonparametric Statistics, Nonparametric Plastic Surgery Procedures adverse effects Plastic Surgery Procedures adverse effects Plastic Surgery Procedures adverse effects Plastic Surgery Procedures methods Plastic Surgery Procedures methods Plastic Surgery Procedures methods Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Reconstructive Surgery and Microvascular Techniques Health Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestations Percy Rossell‐Perry Olga Figallo-Hudtwalcker Roberto Vargas-Chanduvi Yvette Calderon-Ayvar Carolina Romero-Narváez Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| title | Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| title_full | Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| title_fullStr | Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| title_full_unstemmed | Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| title_short | Risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| title_sort | risk factors leading to mucoperiosteal flap necrosis after primary palatoplasty in patents with cleft palate |
| topic | Palatoplasty Medicine Odds ratio Logistic regression Dentistry Retrospective cohort study Complication Medical record Surgery Risk factor Internal medicine Palatoplasty Medicine Odds ratio Logistic regression Dentistry Retrospective cohort study Complication Medical record Surgery Risk factor Internal medicine Adolescent Adolescent Adolescent Age Factors Age Factors Age Factors Child Child Child Child, Preschool Child, Preschool Child, Preschool Cleft Palate diagnosis Cleft Palate diagnosis Cleft Palate diagnosis Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Female Female Female Follow-Up Studies Follow-Up Studies Follow-Up Studies Graft Rejection epidemiology Graft Rejection epidemiology Graft Rejection epidemiology Graft Rejection pathology Graft Rejection pathology Graft Rejection pathology Humans Humans Humans Infant Infant Infant Male Male Male Mouth Mucosa transplantation Mouth Mucosa transplantation Mouth Mucosa transplantation Necrosis pathology Necrosis pathology Necrosis pathology Periosteum blood supply Periosteum blood supply Periosteum blood supply Periosteum transplantation Periosteum transplantation Periosteum transplantation Retrospective Studies Retrospective Studies Retrospective Studies Risk Factors Risk Factors Risk Factors Sex Factors Sex Factors Sex Factors Surgical Flaps pathology Surgical Flaps pathology Surgical Flaps pathology Surgical Flaps transplantation Surgical Flaps transplantation Surgical Flaps transplantation Taiwan Taiwan Taiwan Multivariate Analysis Multivariate Analysis Multivariate Analysis Logistic Models Logistic Models Logistic Models Case-Control Studies Case-Control Studies Case-Control Studies Treatment Outcome Treatment Outcome Treatment Outcome Statistics, Nonparametric Statistics, Nonparametric Statistics, Nonparametric Plastic Surgery Procedures adverse effects Plastic Surgery Procedures adverse effects Plastic Surgery Procedures adverse effects Plastic Surgery Procedures methods Plastic Surgery Procedures methods Plastic Surgery Procedures methods Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Reconstructive Surgery and Microvascular Techniques Health Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestations |
| topic_facet | Palatoplasty Medicine Odds ratio Logistic regression Dentistry Retrospective cohort study Complication Medical record Surgery Risk factor Internal medicine Palatoplasty Medicine Odds ratio Logistic regression Dentistry Retrospective cohort study Complication Medical record Surgery Risk factor Internal medicine Adolescent Adolescent Adolescent Age Factors Age Factors Age Factors Child Child Child Child, Preschool Child, Preschool Child, Preschool Cleft Palate diagnosis Cleft Palate diagnosis Cleft Palate diagnosis Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Female Female Female Follow-Up Studies Follow-Up Studies Follow-Up Studies Graft Rejection epidemiology Graft Rejection epidemiology Graft Rejection epidemiology Graft Rejection pathology Graft Rejection pathology Graft Rejection pathology Humans Humans Humans Infant Infant Infant Male Male Male Mouth Mucosa transplantation Mouth Mucosa transplantation Mouth Mucosa transplantation Necrosis pathology Necrosis pathology Necrosis pathology Periosteum blood supply Periosteum blood supply Periosteum blood supply Periosteum transplantation Periosteum transplantation Periosteum transplantation Retrospective Studies Retrospective Studies Retrospective Studies Risk Factors Risk Factors Risk Factors Sex Factors Sex Factors Sex Factors Surgical Flaps pathology Surgical Flaps pathology Surgical Flaps pathology Surgical Flaps transplantation Surgical Flaps transplantation Surgical Flaps transplantation Taiwan Taiwan Taiwan Multivariate Analysis Multivariate Analysis Multivariate Analysis Logistic Models Logistic Models Logistic Models Case-Control Studies Case-Control Studies Case-Control Studies Treatment Outcome Treatment Outcome Treatment Outcome Statistics, Nonparametric Statistics, Nonparametric Statistics, Nonparametric Plastic Surgery Procedures adverse effects Plastic Surgery Procedures adverse effects Plastic Surgery Procedures adverse effects Plastic Surgery Procedures methods Plastic Surgery Procedures methods Plastic Surgery Procedures methods Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Reconstructive Surgery and Microvascular Techniques Health Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestations |
| url | https://pubmed.ncbi.nlm.nih.gov/28084113 https://doi.org/10.1080/2000656x.2016.1270216 https://hdl.handle.net/20.500.15037/1324 |
| work_keys_str_mv | AT percyrossellperry riskfactorsleadingtomucoperiostealflapnecrosisafterprimarypalatoplastyinpatentswithcleftpalate AT olgafigallohudtwalcker riskfactorsleadingtomucoperiostealflapnecrosisafterprimarypalatoplastyinpatentswithcleftpalate AT robertovargaschanduvi riskfactorsleadingtomucoperiostealflapnecrosisafterprimarypalatoplastyinpatentswithcleftpalate AT yvettecalderonayvar riskfactorsleadingtomucoperiostealflapnecrosisafterprimarypalatoplastyinpatentswithcleftpalate AT carolinaromeronarvaez riskfactorsleadingtomucoperiostealflapnecrosisafterprimarypalatoplastyinpatentswithcleftpalate |